Individual
MARYANN NANETTE ANESI HEATHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MBCHB, BHB
Contact information
Practice address
1234 TURNDER DRIVE, PAGO PAGO, AS 96799
(684) 633-1683
Mailing address
P.O. BOX LBJ GENERAL DELIVERY, PAGO PAGO, AS 96799
(684) 633-1683
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3066-C
AS
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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